N.H. Admin. Code § Saf-C 5029.04

Current through Register No. 36, September 5, 2024

Section Saf-C 5029.04 - Accident Report Form

(a) The operator shall submit the following on the accident report:

(1) Date of the report;

(2) Certificate of competency number;

(3) Time and location of accident;

(4) Name and address of person(s) injured or killed;

(5) Weather conditions at time of accident;

(6) Name and address of person who conducted the display;

(7) Type of display firework that malfunctioned;

(8) Description of the accident;

(9) Cause of the accident;

(10) Names and addresses of any known witnesses;

(11) Name of hospital or doctor where injured person(s) was taken to;

(12) Detailed description of failure, if the launching mechanism was involved; and

(13) Signature of individual who conducted the display.

N.H. Admin. Code § Saf-C 5029.04

#9765-B, eff 8-2-10 (from Saf-C 5026.02(b) )

Amended by Volume XXXVII Number 15, Filed April 13, 2017, Proposed by #12124, Effective 3/6/2018, Expires 3/6/2027.